39D2136211 CLIA NUMBER - THREE SPRINGS AREA AMBULANCE SERVICE, INC

Laboratory Demographics

CLIA Number: 39D2136211

Facility Name: THREE SPRINGS AREA AMBULANCE SERVICE, INC

Facility Address:
21301 CHURCH ST
THREE SPRINGS, PA
ZIP 17264
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Facility Phone Number: 814 448-2900

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1841282589

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	39D2136211
LAB Type	Ambulance
Facility Name	THREE SPRINGS AREA AMBULANCE SERVICE, INC
Street	21301 CHURCH ST
City	THREE SPRINGS
State	PA
ZIP	17264
Phone	814 448-2900
CertificateType	4
CertificateEffectiveDate	9/6/2023
CertificateExpirationDate	9/5/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024